{"id":3590,"date":"2014-03-30T17:00:00","date_gmt":"2014-03-30T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/san-phu-khoa\/lac-noi-mac-tu-cung\/"},"modified":"2024-04-28T15:23:50","modified_gmt":"2024-04-28T08:23:50","slug":"lac-noi-mac-tu-cung","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/lac-noi-mac-tu-cung\/","title":{"rendered":"L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung"},"content":{"rendered":"<h2 id=\"lac-noi-mac-tu-cung-la-gi\"><span style=\"line-height: 1.2em;text-align: justify\"> L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 g\u00ec? <\/span><\/h2>\n<p style=\"text-align: justify\">L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 b\u1ec7nh l\u00fd trong \u0111\u00f3 n\u1ed9i m\u1ea1c t\u1eed cung (l\u00e0 l\u1edbp m\u00e0ng l\u00f3t b\u00ean trong t\u1eed cung) l\u1ea1c ch\u1ed7 \u0111\u1ebfn m\u1ed9t v\u1ecb tr\u00ed kh\u00e1c b\u00ean ngo\u00e0i t\u1eed cung.<\/p>\n<h2 id=\"lac-noi-mac-tu-cung-co-pho-bien-khong\" style=\"text-align: justify\">L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung c\u00f3 ph\u1ed5 bi\u1ebfn kh\u00f4ng?<\/h2>\n<p style=\"text-align: justify\">L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung x\u1ea3y ra v\u1edbi t\u1ec9 l\u1ec7 1\/10 \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef \u1edf \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb. B\u1ec7nh n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i 30 \u0111\u1ebfn ngo\u00e0i 40.<\/p>\n<h2 id=\"lac-noi-mac-tu-cung-thuong-xay-ra-o-vi-tri-nao\" style=\"text-align: justify\">L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung th\u01b0\u1eddng x\u1ea3y ra \u1edf v\u1ecb tr\u00ed n\u00e0o?<\/h2>\n<p style=\"text-align: justify\">M\u00f4 b\u1ec7nh l\u1ea1c ch\u1ed7 (c\u00f2n g\u1ecdi l\u00e0 m\u00f4 c\u1ea5y &#8211; &#8220;implant&#8221;) th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u1edf c\u00e1c v\u1ecb tr\u00ed sau:<\/p>\n<ul>\n<li style=\"text-align: justify\"><strong> M\u00e0ng b\u1ee5ng <\/strong><\/li>\n<li style=\"text-align: justify\"><strong> Bu\u1ed3ng tr\u1ee9ng <\/strong><\/li>\n<li style=\"text-align: justify\"><strong> \u1ed0ng d\u1eabn tr\u1ee9ng <\/strong><\/li>\n<li style=\"text-align: justify\">M\u1eb7t ngo\u00e0i c\u1ee7a t\u1eed cung, <strong> b\u00e0ng quang<\/strong>, <strong> ni\u1ec7u qu\u1ea3n<\/strong>, ru\u1ed9t v\u00e0 <strong> tr\u1ef1c tr\u00e0ng <\/strong><\/li>\n<li style=\"text-align: justify\">Kho\u1ea3ng tr\u1ed1ng ph\u00eda sau t\u1eed cung (c\u00f2n g\u1ecdi t\u00fai c\u00f9ng sau: cul-de-sac)<\/li>\n<\/ul>\n<p style=\"text-align: center\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-18946 size-full\" src=\"https:\/\/yhoccongdong.com\/san-phu-khoa\/wp-content\/uploads\/sites\/4\/2014\/03\/lac-noi-mac-tu-cung.jpg\" alt=\"l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung\" width=\"660\" height=\"330\" \/><\/p>\n<p style=\"text-align: center\"><em> H\u00ecnh minh h\u1ecda: L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung <\/em><\/p>\n<h2 id=\"lac-noi-mac-tu-cung-gay-ra-nhung-tac-hai-nao\" style=\"text-align: justify\">L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung g\u00e2y ra nh\u1eefng t\u00e1c h\u1ea1i n\u00e0o?<\/h2>\n<p style=\"text-align: justify\">M\u00f4 b\u1ec7nh l\u1ea1c ch\u1ed7 ph\u1ea3n \u1ee9ng v\u1edbi s\u1ef1 thay \u0111\u1ed5i c\u1ee7a n\u1ed3ng \u0111\u1ed9 <strong> estrogen<\/strong>, m\u1ed9t lo\u1ea1i <strong> hormone <\/strong> \u1edf n\u1eef gi\u1edbi. M\u00f4 b\u1ec7nh l\u1ea1c ch\u1ed7 c\u00f3 th\u1ec3 d\u00e0y l\u00ean v\u00e0 g\u00e2y ch\u1ea3y m\u00e1u gi\u1ed1ng nh\u01b0 ch\u1ea3y m\u00e1u kinh v\u00e0o k\u1ef3 kinh nguy\u1ec7t. \u0110i\u1ec1u n\u00e0y khi\u1ebfn cho c\u00e1c m\u00f4 xung quanh c\u00f3 th\u1ec3 b\u1ecb vi\u00eam v\u00e0 s\u01b0ng t\u1ea5y. Hi\u1ec7n t\u01b0\u1ee3ng ch\u1ea3y m\u00e1u c\u1ee7a m\u00f4 b\u1ec7nh h\u00e0ng th\u00e1ng c\u0169ng c\u00f3 th\u1ec3 t\u1ea1o ra m\u00f4 s\u1eb9o, c\u00f2n g\u1ecdi l\u00e0 <strong> m\u00f4 s\u1eb9o d\u00ednh <\/strong> (adhesion). \u0110\u00f4i khi m\u00f4 s\u1eb9o n\u00e0y khi\u1ebfn cho c\u00e1c c\u01a1 quan b\u1ecb d\u00ednh v\u00e0o nhau. Hi\u1ec7n t\u01b0\u1ee3ng ch\u1ea3y m\u00e1u, <strong> vi\u00eam <\/strong> v\u00e0 h\u00ecnh th\u00e0nh m\u00f4 s\u1eb9o c\u00f3 th\u1ec3 l\u00e0m b\u1ec7nh nh\u00e2n th\u1ea5y \u0111au \u0111\u1edbn, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u01b0\u1edbc v\u00e0 gi\u1eefa k\u1ef3 kinh nguy\u1ec7t.<\/p>\n<h2 id=\"moi-lien-quan-giua-vo-sinh-va-lac-noi-mac-tu-cung\" style=\"text-align: justify\">M\u1ed1i li\u00ean quan gi\u1eefa v\u00f4 sinh v\u00e0 l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/h2>\n<p style=\"text-align: justify\">Kho\u1ea3ng 40% ph\u1ee5 n\u1eef <strong> v\u00f4 sinh <\/strong> b\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung. Hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho tinh tr\u00f9ng ho\u1eb7c tr\u1ee9ng, ho\u1eb7c c\u1ea3n tr\u1edf vi\u1ec7c di chuy\u1ec3n c\u1ee7a ch\u00fang trong \u1ed1ng d\u1eabn tr\u1ee9ng v\u00e0 trong t\u1eed cung. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh n\u1eb7ng, c\u00e1c m\u00f4 s\u1eb9o d\u00ednh c\u00f3 th\u1ec3 l\u00e0m t\u1eafc \u1ed1ng d\u1eabn tr\u1ee9ng.<\/p>\n<h2 id=\"cac-trieu-trung-cua-lac-noi-mac-tu-cung\" style=\"text-align: justify\">C\u00e1c tri\u1ec7u tr\u1ee9ng c\u1ee7a l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/h2>\n<p style=\"text-align: justify\">Tri\u1ec7u ch\u1ee9ng th\u00f4ng th\u01b0\u1eddng nh\u1ea5t c\u1ee7a l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 \u0111au b\u1ee5ng d\u01b0\u1edbi kinh ni\u00ean, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u01b0\u1edbc v\u00e0 trong khi h\u00e0nh kinh. B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 b\u1ecb \u0111au khi quan h\u1ec7 t\u00ecnh d\u1ee5c. N\u1ebfu m\u00f4 b\u1ec7nh l\u1ea1c ch\u1ed7 \u1edf ru\u1ed9t, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb \u0111au khi \u0111\u1ea1i ti\u1ec7n. N\u1ebfu m\u00f4 b\u1ec7nh l\u1ea1c ch\u1ed7 \u1edf b\u00e0ng quang, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb \u0111au khi \u0111i ti\u1ec3u. M\u00e1u kinh ra nhi\u1ec1u c\u0169ng l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng c\u1ee7a l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung. Nh\u01b0ng c\u0169ng c\u00f3 nhi\u1ec1u ph\u1ee5 n\u1eef b\u1ecb b\u1ec7nh m\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng g\u00ec c\u1ea3.<\/p>\n<h2 id=\"phuong-phap-chan-doan\" style=\"text-align: justify\">Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p style=\"text-align: justify\">B\u00e1c s\u0129 ph\u1ee5 khoa c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung th\u00f4ng qua <strong> kh\u00e1m ph\u1ee5 khoa t\u1ed5ng qu\u00e1t<\/strong>. Tuy nhi\u00ean ch\u1ec9 c\u00f3 b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p <strong> n\u1ed9i soi \u1ed5 b\u1ee5ng <\/strong> b\u00e1c s\u0129 m\u1edbi c\u00f3 th\u1ec3 ch\u1eafc ch\u1eafn l\u00e0 b\u1ea1n b\u1ecb b\u1ec7nh n\u00e0y. \u0110\u00f4i khi b\u00e1c s\u0129 s\u1ebd l\u1ea5y m\u1ed9t ph\u1ea7n m\u00f4 b\u1ec7nh khi n\u1ed9i soi \u1ed5 b\u1ee5ng \u0111\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m. Qu\u00e1 tr\u00ecnh n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong> sinh thi\u1ebft <\/strong> (biopsy) b\u1ec7nh ph\u1ea9m.<\/p>\n<h2 id=\"phuong-phap-dieu-tri\" style=\"text-align: justify\">Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb<\/h2>\n<p style=\"text-align: justify\">Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh, v\u00e0 t\u00f9y thu\u1ed9c v\u00e0o vi\u1ec7c b\u1ea1n c\u00f3 mu\u1ed1n c\u00f3 con hay kh\u00f4ng. B\u1ec7nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c, ho\u1eb7c ph\u1eabu thu\u1eadt, ho\u1eb7c c\u1ea3 hai. N\u1ebfu \u0111au l\u00e0 v\u1ea5n \u0111\u1ec1 ch\u00ednh, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ea7u ti\u00ean.<\/p>\n<h2 id=\"cac-thuoc-dung-de-dieu-tri-lac-noi-mac-tu-cung\" style=\"text-align: justify\">C\u00e1c thu\u1ed1c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/h2>\n<p style=\"text-align: justify\">C\u00e1c thu\u1ed1c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bao g\u1ed3m thu\u1ed1c gi\u1ea3m \u0111au. V\u00ed d\u1ee5 nh\u01b0 thu\u1ed1c kh\u00e1ng vi\u00eam nonsteriod (nonsteriodal anti-inflammatory drugs, vi\u1ebft t\u1eaft l\u00e0 NSAIDs); c\u00e1c thu\u1ed1c n\u1ed9i ti\u1ebft nh\u01b0 thu\u1ed1c vi\u00ean tr\u00e1nh thai k\u1ebft h\u1ee3p, thu\u1ed1c tr\u00e1nh thai ch\u1ec9 ch\u1ee9a <strong> progestin <\/strong> (progestin-only medications), v\u00e0 <strong> ch\u1ea5t \u0111\u1ed3ng v\u1eadn (ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng t\u01b0\u01a1ng t\u1ef1) c\u1ee7a hormone gi\u1ea3i ph\u00f3ng gonadotropin <\/strong> (gonadotropin-releasing hormone agonists). Thu\u1ed1c n\u1ed9i ti\u1ebft gi\u00fap l\u00e0m gi\u1ea3m qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a m\u00f4 b\u1ec7nh v\u00e0 tr\u00e1nh h\u00ecnh th\u00e0nh m\u00f4 s\u1eb9o m\u1edbi. Tuy nhi\u00ean c\u00e1c thu\u1ed1c n\u00e0y kh\u00f4ng th\u1ec3 l\u00e0m ti\u00eau m\u00f4 b\u1ec7nh v\u1ed1n \u0111\u00e3 h\u00ecnh th\u00e0nh s\u1eb5n.<\/p>\n<h2 id=\"phau-thuat-co-the-dieu-tri-lac-noi-mac-tu-cung-bang-cach-nao\" style=\"text-align: justify\">Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung b\u1eb1ng c\u00e1ch n\u00e0o?<\/h2>\n<p style=\"text-align: justify\">Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au v\u00e0 t\u0103ng kh\u1ea3 n\u0103ng sinh s\u1ea3n. Trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt, m\u00f4 b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c c\u1eaft b\u1ecf \u0111i.<\/p>\n<h2 id=\"phau-thuat-co-dieu-tri-khoi-lac-noi-mac-tu-cung-khong\" style=\"text-align: justify\">Ph\u1eabu thu\u1eadt c\u00f3 \u0111i\u1ec1u tr\u1ecb kh\u1ecfi l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung kh\u00f4ng?<\/h2>\n<p style=\"text-align: justify\">\u0110a ph\u1ea7n ph\u1ee5 n\u1eef kh\u00f4ng th\u1ea5y \u0111au n\u1eefa sau khi \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt. Tuy nhi\u00ean, kho\u1ea3ng 40-80% ph\u1ee5 n\u1eef b\u1ecb \u0111au tr\u1edf l\u1ea1i trong v\u00f2ng 2 n\u0103m sau ph\u1eabu thu\u1eadt. M\u1ee9c \u0111\u1ed9 \u0111au c\u00e0ng nhi\u1ec1u th\u00ec kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t c\u00e0ng cao. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai ho\u1eb7c c\u00e1c thu\u1ed1c kh\u00e1c sau khi ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 k\u00e9o d\u00e0i kho\u1ea3ng th\u1eddi gian kh\u00f4ng b\u1ecb \u0111au.<\/p>\n<h2 id=\"phai-lam-gi-neu-ban-van-thay-dau-nhieu-sau-khi-dieu-tri\" style=\"text-align: justify\">Ph\u1ea3i l\u00e0m g\u00ec n\u1ebfu b\u1ea1n v\u1eabn th\u1ea5y \u0111au nhi\u1ec1u sau khi \u0111i\u1ec1u tr\u1ecb<\/h2>\n<p style=\"text-align: justify\">N\u1ebfu \u0111au nhi\u1ec1u v\u00e0 c\u01a1n \u0111au kh\u00f4ng thuy\u00ean gi\u1ea3m sau \u0111i\u1ec1u tr\u1ecb, ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u1eed cung c\u00f3 th\u1ec3 l\u00e0 bi\u1ec7n ph\u00e1p cu\u1ed1i c\u00f9ng. Kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t c\u0169ng th\u1ea5p h\u01a1n n\u1ebfu bu\u1ed3ng tr\u1ee9ng c\u0169ng b\u1ecb c\u1eaft b\u1ecf. N\u1ebfu b\u1ea1n mu\u1ed1n gi\u1eef l\u1ea1i bu\u1ed3ng tr\u1ee9ng, kh\u1ea3 n\u0103ng t\u00e1i ph\u00e1t s\u1ebd th\u1ea5p h\u01a1n n\u1ebfu nh\u1eefng m\u00f4 b\u1ec7nh l\u1ea1c ch\u1ed7 c\u0169ng b\u1ecb c\u1eaft b\u1ecf khi th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u1eed cung.<\/p>\n<p style=\"text-align: justify\">C\u00f3 kh\u1ea3 n\u0103ng r\u1ea5t th\u1ea5p l\u00e0 c\u01a1n \u0111au kh\u00f4ng h\u1ebft ngay c\u1ea3 khi \u0111\u00e3 c\u1eaft b\u1ecf t\u1eed cung v\u00e0 bu\u1ed3ng tr\u1ee9ng. Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 do m\u00f4 b\u1ec7nh h\u00ecnh th\u00e0nh \u1edf n\u01a1i kh\u00f4ng th\u1ec3 nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c ho\u1eb7c kh\u00f4ng th\u1ec3 b\u1ecb c\u1eaft b\u1ecf khi ph\u1eabu thu\u1eadt.<\/p>\n<p style=\"text-align: justify\"><strong> <span style=\"font-size: 18px\"> Ch\u00fa gi\u1ea3i <\/span> <\/strong><\/p>\n<ul>\n<li style=\"text-align: justify\"><strong> Ch\u1ea5t \u0111\u1ed3ng v\u1eadn c\u1ee7a hormone gi\u1ea3i ph\u00f3ng gonadotropin<\/strong>: l\u00e0 lo\u1ea1i thu\u1ed1c d\u00f9ng \u0111\u1ec3 ng\u0103n ch\u1eb7n \u1ea3nh h\u01b0\u1edfng c\u1ee7a c\u00e1c hormone nh\u1ea5t \u0111\u1ecbnh.<\/li>\n<li style=\"text-align: justify\"><strong> B\u00e0ng quang<\/strong>: l\u00e0 t\u00fai c\u01a1 gi\u1eef n\u01b0\u1edbc ti\u1ec3u tr\u01b0\u1edbc khi th\u1ea3i ra ngo\u00e0i.<\/li>\n<li style=\"text-align: justify\"><strong> L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/strong>: l\u00e0 s\u1ef1 l\u1ea1c ch\u1ed7 c\u1ee7a m\u00f4 n\u1ed9i m\u1ea1c t\u1eed cung, l\u1edbp l\u00f3t b\u00ean trong t\u1eed cung \u0111\u1ebfn m\u1ed9t v\u1ecb tr\u00ed kh\u00e1c b\u00ean ngo\u00e0i t\u1eed cung, th\u01b0\u1eddng l\u00e0 \u1edf bu\u1ed3ng tr\u1ee9ng, \u1ed1ng d\u1eabn tr\u1ee9ng, v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c trong v\u00f9ng ch\u1eadu.<\/li>\n<li style=\"text-align: justify\"><strong> Bu\u1ed3ng tr\u1ee9ng<\/strong>: l\u00e0 hai tuy\u1ebfn n\u1eb1m hai b\u00ean c\u1ea1nh t\u1eed cung ch\u1ee9a tr\u1ee9ng v\u00e0 s\u1ea3n xu\u1ea5t c\u00e1c hormone.<\/li>\n<li style=\"text-align: justify\"><strong> Estrogen<\/strong>: l\u00e0 m\u1ed9t lo\u1ea1i hormone n\u1eef do bu\u1ed3ng tr\u1ee9ng s\u1ea3n sinh ra.<\/li>\n<li style=\"text-align: justify\"><strong> Hormone<\/strong>: l\u00e0 m\u1ed9t ch\u1ea5t do c\u01a1 th\u1ec3 s\u1ea3n sinh ra \u0111\u1ec3 \u0111i\u1ec1u khi\u1ec3n s\u1ef1 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c c\u01a1 quan.<\/li>\n<li style=\"text-align: justify\"><strong> Kh\u00e1m ph\u1ee5 khoa t\u1ed5ng qu\u00e1<\/strong>: l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra c\u01a1 quan sinh d\u1ee5c n\u1eef.<\/li>\n<li style=\"text-align: justify\"><strong> M\u00f4 s\u1eb9o d\u00ednh<\/strong>: l\u00e0 m\u00f4 s\u1eb9o m\u00e0 khi h\u00ecnh th\u00e0nh l\u00e0m d\u00ednh c\u00e1c c\u01a1 quan v\u00e0o v\u1edbi nhau.<\/li>\n<li style=\"text-align: justify\"><strong> Ni\u1ec7u qu\u1ea3n<\/strong>: l\u00e0 \u1ed1ng n\u1ed1i th\u1eadn v\u1edbi b\u00e0ng quang.<\/li>\n<li style=\"text-align: justify\"><strong> N\u1ed9i m\u1ea1c t\u1eed cung<\/strong>: l\u00e0 l\u1edbp l\u00f3t b\u00ean trong t\u1eed cung.<\/li>\n<li style=\"text-align: justify\"><strong> \u1ed0ng d\u1eabn tr\u1ee9ng<\/strong>: l\u00e0 \u1ed1ng d\u1eabn tr\u1ee9ng t\u1eeb bu\u1ed3ng tr\u1ee9ng \u0111\u1ebfn t\u1eed cung.<\/li>\n<li style=\"text-align: justify\"><strong> Progestin<\/strong>: l\u00e0 d\u1ea1ng t\u1ed5ng h\u1ee3p c\u1ee7a progesterone, g\u1ea7n gi\u1ed1ng v\u1edbi d\u1ea1ng do c\u01a1 th\u1ec3 s\u1ea3n sinh.<\/li>\n<li style=\"text-align: justify\"><strong> Sinh thi\u1ebft<\/strong>: l\u00e0 qu\u00e1 tr\u00ecnh l\u1ea5y m\u1ed9t ph\u1ea7n nh\u1ecf c\u1ee7a m\u00f4 \u0111\u1ec3 x\u00e9t nghi\u1ec7m b\u1eb1ng c\u00e1ch quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi.<\/li>\n<li style=\"text-align: justify\"><strong> N\u1ed9i soi \u1ed5 b\u1ee5ng<\/strong>: l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt d\u00f9ng m\u1ed9t d\u1ee5ng c\u1ee5 g\u1ecdi l\u00e0 k\u00ednh soi, \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o v\u00f9ng ch\u1eadu qua nh\u1eefng \u0111\u01b0\u1eddng r\u1ea1ch da nh\u1ecf tr\u00ean th\u00e0nh b\u1ee5ng. K\u00ednh soi n\u00e0y \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 quan s\u00e1t c\u00e1c c\u01a1 quan trong v\u00f9ng ch\u1eadu. C\u00e1c d\u1ee5ng c\u1ee5 kh\u00e1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi k\u00ednh soi \u0111\u1ec3 ph\u1eabu thu\u1eadt.<\/li>\n<li style=\"text-align: justify\"><strong> Tr\u1ef1c tr\u00e0ng<\/strong>: l\u00e0 \u0111o\u1ea1n cu\u1ed1i c\u00f9ng c\u1ee7a c\u01a1 quan ti\u00eau ho\u00e1.<\/li>\n<li style=\"text-align: justify\"><strong> T\u1eed cung<\/strong>: l\u00e0 m\u1ed9t c\u01a1 quan n\u1eb1m trong khung ch\u1eadu n\u1eef gi\u1edbi, ch\u1ee9a v\u00e0 nu\u00f4i d\u01b0\u1ee1ng thai nhi trong qu\u00e1 tr\u00ecnh mang thai.<\/li>\n<li style=\"text-align: justify\"><strong> Vi\u00eam<\/strong>: l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u00e1c c\u01a1 quan b\u1ecb \u0111au, s\u01b0ng t\u1ea5y, \u0111\u1ecf l\u00ean.<\/li>\n<li style=\"text-align: justify\"><strong> V\u00f4 sinh<\/strong>: l\u00e0 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1ee5 thai sau 12 th\u00e1ng quan h\u1ec7 m\u00e0 kh\u00f4ng d\u00f9ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai n\u00e0o.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 18px\"> <strong> Ch\u00fa \u00fd <\/strong> <\/span><\/p>\n<p style=\"text-align: justify\"><strong> N\u1ebfu b\u1ea1n c\u00f3 th\u00eam th\u1eafc m\u1eafc, h\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 ph\u1ee5 khoa <\/strong><\/p>\n<p style=\"text-align: justify\">B\u00e0i n\u00e0y \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 tr\u1ee3 gi\u00fap b\u1ec7nh nh\u00e2n, ch\u1ee9 kh\u00f4ng m\u00f4 t\u1ea3 to\u00e0n b\u1ed9 qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u1ea7n thi\u1ebft, v\u00e0 do \u0111\u00f3 kh\u00f4ng n\u00ean b\u1ecf qua c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c c\u00f3 th\u1ec3. Tu\u1ef3 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, \u0111i\u1ec1u ki\u1ec7n c\u1ee7a c\u01a1 s\u1edf y t\u1ebf m\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 c\u00f3 thay \u0111\u1ed5i.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><a href=\"http:\/\/www.acog.org\/~\/media\/For%20Patients\/faq013.pdf?dmc=1&amp;ts=20140214T1024222267\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.acog.org\/~\/media\/For%20Patients\/faq013.pdf?dmc=1&amp;ts=20140214T1024222267 <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 b\u1ec7nh l\u00fd trong \u0111\u00f3 n\u1ed9i m\u1ea1c t\u1eed cung (l\u00e0 l\u1edbp m\u00e0ng l\u00f3t b\u00ean trong t\u1eed cung) l\u1ea1c ch\u1ed7 \u0111\u1ebfn m\u1ed9t v\u1ecb tr\u00ed kh\u00e1c b\u00ean ngo\u00e0i t\u1eed cung.<\/p>\n","protected":false},"author":158,"featured_media":3589,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5381],"tags":[4487,4488],"series":[1239],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 b\u1ec7nh l\u00fd trong \u0111\u00f3 n\u1ed9i m\u1ea1c t\u1eed cung (l\u00e0 l\u1edbp m\u00e0ng l\u00f3t b\u00ean trong t\u1eed cung) l\u1ea1c ch\u1ed7 \u0111\u1ebfn m\u1ed9t v\u1ecb tr\u00ed kh\u00e1c b\u00ean ngo\u00e0i t\u1eed cung.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/san-phu-khoa\/lac-noi-mac-tu-cung\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 b\u1ec7nh l\u00fd trong \u0111\u00f3 n\u1ed9i m\u1ea1c t\u1eed cung (l\u00e0 l\u1edbp m\u00e0ng l\u00f3t b\u00ean trong t\u1eed cung) l\u1ea1c ch\u1ed7 \u0111\u1ebfn m\u1ed9t v\u1ecb tr\u00ed kh\u00e1c b\u00ean ngo\u00e0i t\u1eed cung.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/san-phu-khoa\/lac-noi-mac-tu-cung\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n S\u1ea3n Ph\u1ee5 Khoa\" \/>\n<meta property=\"article:published_time\" content=\"2014-03-30T10:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-28T08:23:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/san-phu-khoa\/wp-content\/uploads\/sites\/4\/2014\/03\/lac-noi-mac-tu-cung.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"TS. 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